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WTC building inspection form for 30 West Broadway, undated

Machine-extracted title · confidence 95%

Completed inspection checklist form recording facade and air monitoring status for a commercial building at 30 West Broadway.

NYC-WTC_000109982–000109983

Folder label: “30 WEST BROADWAY; 1001414, 127/11

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NYC 9/11 Public Portal Document W. I %# V rbuai purvey rvrm Premise Address: 3v t~ Block: Residents CommerciaF . ame of Building: Lot Mix Us Other S of Stories: AKA's: Building Owner/Management: . . Telephone Number. ( Name: - FAX: Address: -------------------- - On Site' Contact -.-.-.-.-.-.-.-.-.-.-.PII ' Telephone Number: Z I Z 30 0 - Name: •

Building Owner Managem ctivities Interior Survey Performed Exterior Survey PerfoKm YesQNo es U No a e /~ - F t3KN e~y General Clean Up Yes 1to Locations: I SkAS '4 y S ACM Clean Up Yes No Locations: Air Monitoring Yes No Locations: Copies of All Reports and Data Requested pYes

Visual inspection Results: Facade: Ins cued . D.bIs North NIA es No o Visible/Fine Leye to1' >!' South N/A Ves No No Visible/Fine Layer to 1' > 1' East N/A es No No Visible/Fine Layer 3% to 1' > 1' West N/A es No No Visible/Fine Layer to 1' > 1' Facade Description:

Roof Debris: L] No Visible /Fine Layer )1?Jito V. I]> 1' Description: •moo -vi . //

Setbacks WAD Floor, Debris: No Visible/Fine Layer to 1' Floor Debris: No Yisible/Fine Layer % to1' Floor_ Debris: No Visible/Fine Layer % to 1' Floor:_ Debris: No Visible/Fine Layer % to1' Floor___ Debris: No Visible/Fine Layer % to1' Comments

Date: _Ii InspectionTeam: Name: 1 Agncy: R E . Larne: Agency

NYC-WTC 000109983

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NYC-WTC_000109983Source: NYC Law Department, mirrored locally

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